Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $4,283.46 / $8,728.00	Facility		$245.40	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $155.54 / $372.47	Professional		$105.68	$155.54	$372.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $158.72 / $1,937.44	Facility		$158.72	$158.72	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $260.38 / $395.79	Professional		$144.83	$260.38	$395.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $277.75 / $357.36	Professional		$212.36	$277.75	$357.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $232.10 / $368.52	Facility		$146.36	$232.10	$368.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $244.76 / $355.42	Professional		$180.24	$244.76	$355.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $269.44 / $295.47	Facility		$171.11	$269.44	$295.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $241.47 / $379.28	Facility		$146.97	$241.47	$379.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $282.88 / $387.20	Professional		$203.30	$282.88	$387.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $286.14 / $401.32	Professional		$206.99	$286.14	$401.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $312.27 / $461.32	Professional		$215.22	$312.27	$461.32